WEBVTT - Your Bladder Has Been Trying To Get Your Attention 0:00:10.287 --> 0:00:13.007 You're listening to Amma mea podcast. 0:00:13.727 --> 0:00:16.767 Mama Meyer acknowledges the traditional owners of land and waters 0:00:16.767 --> 0:00:19.847 that this podcast is recorded on What if I need 0:00:19.847 --> 0:00:21.367 a pool? I'm all right for now, but I might 0:00:21.407 --> 0:00:23.727 because I've had to coffee early, just letting you know, 0:00:23.807 --> 0:00:26.367 But right now I'm okay. Have we stun a record? 0:00:30.407 --> 0:00:33.847 Hello there, I am Doctor Ginny Mansburg and welcome to 0:00:34.487 --> 0:00:38.087 the brand new era of Well, the podcast for Your 0:00:38.087 --> 0:00:41.807 Health and Body Explained. I am the new resident doctor 0:00:41.807 --> 0:00:45.487 for Well Who. I'm a general practitioner. I'm a women's 0:00:45.527 --> 0:00:48.567 health expert, and I'm basically here to talk about the annoying, 0:00:48.847 --> 0:00:51.807 the embarrassing, and the scary when it comes to women's health, 0:00:51.847 --> 0:00:54.807 basically all of my absolute favorite topics. 0:00:55.167 --> 0:00:58.727 Hello, and I'm Kath Mahoney. I am a comedian. I'm 0:00:58.767 --> 0:01:02.607 an author and a podcaster. You might be wondering why 0:01:02.687 --> 0:01:05.487 a comedian is on a health podcast. Well, let me 0:01:05.487 --> 0:01:07.687 tell you the very most important thing you need to 0:01:07.687 --> 0:01:10.927 know about me before a comedian, I am actually a hypochondriac. 0:01:11.367 --> 0:01:14.407 So being on this podcast is like a dream. I 0:01:14.447 --> 0:01:16.567 get to sit here with Dr Ginny once a week 0:01:16.607 --> 0:01:18.247 and just ask her all the things that are going 0:01:18.287 --> 0:01:21.287 through my head, and I can also ask the questions 0:01:21.367 --> 0:01:23.927 that you might want to ask. And if you've listened 0:01:23.967 --> 0:01:26.847 to Unleash, the podcast for Women who Need a Laugh, 0:01:27.487 --> 0:01:29.847 you know that I will go there with the questions, 0:01:30.567 --> 0:01:34.167 warning and apologies ahead. You're in for a ride because 0:01:34.207 --> 0:01:35.167 nothing is off limits? 0:01:35.167 --> 0:01:35.607 Am I right? 0:01:35.727 --> 0:01:36.247 Dr Ginny? 0:01:36.287 --> 0:01:39.567 You are right, keV, because the chances are certainly in 0:01:39.567 --> 0:01:41.727 my case, I've heard it, I've seen it. I've probably 0:01:41.767 --> 0:01:43.407 smelt it and touched it and traded it. 0:01:43.407 --> 0:01:44.487 At all before. 0:01:44.567 --> 0:01:47.127 So here's what you can expect from the brand new 0:01:47.167 --> 0:01:50.327 will What the Health, what's happening in health news? And 0:01:50.367 --> 0:01:53.727 the latest trends popping up on your feed? Are You Well? 0:01:54.087 --> 0:01:57.487 A deep dive into two topics the hottest health subjects 0:01:57.567 --> 0:01:59.847 that women don't just ask enough about. 0:01:59.967 --> 0:02:03.407 So this week we've got hydration and pre diabetes, let's 0:02:03.447 --> 0:02:05.607 face it, both of our favorite. 0:02:05.127 --> 0:02:08.687 Segment of well It is asking for a Friend, which 0:02:08.727 --> 0:02:13.247 is your anonymous, probably very awkward health questions that you 0:02:13.287 --> 0:02:16.367 can leave us as a voice note, very very anonymous 0:02:16.407 --> 0:02:18.367 right there, and they're going to be answered by me. 0:02:19.047 --> 0:02:21.727 I might just be sliding a few asking for a 0:02:21.767 --> 0:02:24.407 friend on behalf of myself one's in this season. Who 0:02:24.447 --> 0:02:25.327 knows anyway. 0:02:25.487 --> 0:02:28.367 But first it's time for What the Health, which is 0:02:28.407 --> 0:02:33.647 your quick dose of women's health headlines. What oh what? 0:02:34.487 --> 0:02:37.847 I don't understand What the Health? So what have you 0:02:37.887 --> 0:02:38.487 got frustrated? 0:02:38.487 --> 0:02:40.447 Okay? First of all, I wanted to talk about HRT 0:02:40.727 --> 0:02:45.167 because Kath, it is still not that available. Patches are 0:02:45.247 --> 0:02:47.967 just dripping into the country. A lot of women are 0:02:47.967 --> 0:02:51.167 turning to the gels. There is also a spray that 0:02:51.207 --> 0:02:53.727 has been around in the UK. My whole periposse has 0:02:53.767 --> 0:02:55.527 been onto it in the UK for ages. It is 0:02:55.567 --> 0:02:56.407 now here in Australia. 0:02:56.487 --> 0:02:58.367 Oh spray. Okay, what's the difference between the gel and 0:02:58.367 --> 0:02:58.767 the spray? 0:02:59.007 --> 0:03:02.167 Exactly what it says on the tin ones spray? 0:03:02.207 --> 0:03:03.047 Do you have to rub it in that? 0:03:03.207 --> 0:03:04.487 No, you have to not rub it in. You have 0:03:04.527 --> 0:03:06.447 to like stand with your legs apart. If you put 0:03:06.447 --> 0:03:07.847 it on your owner thighs and just wait for it 0:03:07.887 --> 0:03:08.447 to try it. 0:03:08.607 --> 0:03:11.807 Good luck doing that in the hottest parts of summer. Right, 0:03:11.887 --> 0:03:13.967 What have you got next, doctor, Jenny so Cath. 0:03:14.287 --> 0:03:17.887 I always love a big study, especially one with one 0:03:17.967 --> 0:03:20.847 hundred and fifty thousand people that goes for thirty years. 0:03:20.887 --> 0:03:23.327 Holy moly, none is a big study. It is a 0:03:23.327 --> 0:03:27.007 big study, and it basically confirmed that between ninety and 0:03:27.047 --> 0:03:29.047 one hundred and twenty minutes of my worst thing in 0:03:29.087 --> 0:03:32.367 the entire planet, strength training is not only really good 0:03:32.367 --> 0:03:34.647 for your muscles, but it also seems to lower your 0:03:34.727 --> 0:03:37.967 risk of death as well as things like diabetes and 0:03:37.967 --> 0:03:39.847 certain cancers as well. So I'm just going to have 0:03:39.887 --> 0:03:41.767 to pull my finger out and do it. So how 0:03:41.807 --> 0:03:45.367 many minutes we're talking? Did you say half to two 0:03:45.487 --> 0:03:49.007 hours per week? What I loved about this study was 0:03:49.047 --> 0:03:51.727 that for all of us who just dread that whole process, 0:03:51.927 --> 0:03:53.847 more than one hundred and twenty minutes did not add 0:03:53.847 --> 0:03:56.687 anything to your life expectancy. So in good news, you 0:03:56.687 --> 0:03:57.567 can top out there. 0:03:57.647 --> 0:03:59.967 Okay, so you and I both need to literally pull 0:04:00.007 --> 0:04:02.407 our finger out and start lifting. So, as you know, 0:04:02.567 --> 0:04:06.087 my algorithm serves me up a lot of medical and 0:04:06.727 --> 0:04:10.647 beauty advice at three am when I'm scrolling, the latest 0:04:11.007 --> 0:04:13.887 thing I'm seeing a lot of is testosterone cream being 0:04:13.967 --> 0:04:17.487 used as part of people's facials. So testosterone is, you know, 0:04:17.607 --> 0:04:19.287 is a hormone replacement therapy, isn't it? 0:04:19.407 --> 0:04:20.647 Yeah? Full of bido? Yeah? 0:04:20.807 --> 0:04:23.247 Is this a new thing? Doctor Ginny or are they bonkers? 0:04:23.567 --> 0:04:25.927 They're bonkers. But I've been seeing this as well, so 0:04:26.007 --> 0:04:29.687 I think the thought is that, you know, testosterone is 0:04:29.727 --> 0:04:33.287 the latest hippist like everything for anti aging. By the way, 0:04:33.367 --> 0:04:35.687 hint hint, don't really have evidence for that, and so 0:04:35.727 --> 0:04:37.967 people are thinking that that if they stick it straight 0:04:38.007 --> 0:04:40.967 on their face, they'll grow more collagen and it will 0:04:40.967 --> 0:04:44.887 be an awesome anti aging treatment. So basically, it's really 0:04:44.927 --> 0:04:48.487 really good for growing massive zits and really great for 0:04:48.527 --> 0:04:51.567 growing a mustache and a nice thick beard if that's 0:04:51.607 --> 0:04:53.807 the look you're going for, or wow it to you. 0:04:54.207 --> 0:04:55.887 For the rest of us who just want to get 0:04:55.927 --> 0:04:58.167 our glow on, I'm saying no. You're saying no. 0:04:58.567 --> 0:05:01.127 Yeah, yeah, I'm saying no to the beard and the 0:05:01.167 --> 0:05:03.887 acne for my new Tinder profile. So that's so I'll 0:05:03.887 --> 0:05:06.607 just stick with my normal nighttime routine. That's what I'd do, right. 0:05:06.687 --> 0:05:11.407 Thanks touch to Jenny. Up next, it's time for are 0:05:11.447 --> 0:05:14.007 you well? And what we really really need to talk 0:05:14.007 --> 0:05:19.007 about is water. We will be unpacking my adequate hydration 0:05:19.567 --> 0:05:22.687 is doing way more for your hormonal health, energy and 0:05:22.767 --> 0:05:24.407 skin than you might think. 0:05:28.767 --> 0:05:30.327 How are you well? How are you feeling? 0:05:30.607 --> 0:05:31.167 Are you well? 0:05:31.287 --> 0:05:36.487 Are you well? Alrighty? It is time for are you Well, 0:05:36.527 --> 0:05:40.207 where we discuss the most important things that you need 0:05:40.247 --> 0:05:43.407 to know that are happening in women's health right now. 0:05:43.807 --> 0:05:46.727 And today we're going to do something that seems like 0:05:46.767 --> 0:05:48.767 a bit of a no brainer but can actually be 0:05:48.807 --> 0:05:51.527 a lot more important than people realize, and that is 0:05:51.567 --> 0:05:55.207 your basic water. So grab hold of that emotional support 0:05:55.207 --> 0:05:58.007 water bottle. Kath currently has a three later one sitting 0:05:58.047 --> 0:06:00.207 in front of her, that one that you've been carrying 0:06:00.247 --> 0:06:03.927 absolutely everywhere, because today we are chatting about why adequate 0:06:04.007 --> 0:06:07.327 hydration is doing way more for your health, your energy, 0:06:07.567 --> 0:06:10.327 and even your skin than you think. And it's time 0:06:10.647 --> 0:06:14.367 for the science of hydration. I'm very excited about this. 0:06:14.487 --> 0:06:16.887 As a two liter guzzler, I want to feel smug 0:06:16.927 --> 0:06:17.967 at the end of this segment. 0:06:18.007 --> 0:06:18.847 I want to know it all. 0:06:19.127 --> 0:06:22.167 Hit me with it. Well now, to just decrease your smugness, 0:06:22.327 --> 0:06:25.167 we have a quiz, and my quiz question for you 0:06:25.327 --> 0:06:29.287 is this, cas how much of your body is made 0:06:29.367 --> 0:06:29.887 up of water? 0:06:31.647 --> 0:06:36.087 Two literas? Are you on a percentage forty? 0:06:37.087 --> 0:06:40.087 There's actually sixty percent. I've actually dread up to like 0:06:40.167 --> 0:06:42.247 higher than that, like even up to eighty percent of 0:06:42.287 --> 0:06:44.727 your body in some calculations is made of water. 0:06:45.047 --> 0:06:47.327 Wow, you're basically bluid. 0:06:47.647 --> 0:06:49.767 Which explains why you spend half your life running to 0:06:49.807 --> 0:06:51.007 the toilet every time. 0:06:52.247 --> 0:06:54.847 She just says, I'll just pop to the loo. Ginnie's 0:06:54.927 --> 0:06:57.487 like you going again. I do go the toilet lot. 0:06:58.327 --> 0:06:58.927 So yeah, that. 0:06:58.967 --> 0:07:02.247 Sixty percent is quite an interesting figure. And what the 0:07:02.367 --> 0:07:05.207 National Health of Medical Research Council has told us, and 0:07:05.247 --> 0:07:07.367 they are like the Grand Poobas of all things science, 0:07:07.927 --> 0:07:10.087 they have said that as little as two percent of 0:07:10.127 --> 0:07:12.487 dehydration in your body, you're going to feel it, and 0:07:12.527 --> 0:07:15.207 you're going to feel sluggish, You're going to feel tired, 0:07:15.727 --> 0:07:18.247 your brain performance is going to go down like it's 0:07:18.247 --> 0:07:21.767 going to really impact you. And we know that look 0:07:21.767 --> 0:07:23.447 like you hadn't get away with a little bit of 0:07:23.487 --> 0:07:26.687 dehydration from time to time, but if it happens chronically, 0:07:26.967 --> 0:07:29.207 one thing for sure we know is that you definitely 0:07:29.247 --> 0:07:32.287 get more. Kidney stones can be really quite rough on 0:07:32.327 --> 0:07:36.247 your kidneys. It's linked to higher cancer rates like urinary 0:07:36.287 --> 0:07:40.167 track cancers and bowel cancer. And then this condition in 0:07:40.167 --> 0:07:43.567 the heart called mitral valve prolapse, which gives you lots 0:07:43.567 --> 0:07:46.327 of palpitations doesn't feel too good as well as just 0:07:46.687 --> 0:07:52.487 generally reduced physical and mental performance. Cath you are not 0:07:52.527 --> 0:07:55.087 at risk. No, but I used to be Hans. Now 0:07:55.127 --> 0:07:57.527 I've got my big bottle. What made you stop? 0:07:57.727 --> 0:08:01.207 I ended up getting a thing called dive particulitis. So 0:08:01.287 --> 0:08:03.487 the specialist was like, two e literis from now on, 0:08:03.527 --> 0:08:06.367 because I literally I feel very embarrassed to say this 0:08:06.687 --> 0:08:10.767 was a was really like I drunk coffee and maybe 0:08:10.927 --> 0:08:14.447 a little small glass of water. I just didn't. Yeah, 0:08:14.767 --> 0:08:15.887 but that's not bad. 0:08:15.927 --> 0:08:17.927 Like I think a lot of people think that coffee 0:08:18.007 --> 0:08:20.647 dehydrates you, which is a bit of an old school idea, 0:08:21.287 --> 0:08:24.767 and that when we talk about fluid a day, because 0:08:24.847 --> 0:08:27.847 women need two point one leaders of fluid a day 0:08:28.367 --> 0:08:30.287 unless they're pregnant, and he goes up to two point 0:08:30.287 --> 0:08:33.207 three then, which is not bad three leaders for breastfeeding women. 0:08:33.647 --> 0:08:36.487 People think that that has to be water. Like obviously 0:08:36.767 --> 0:08:39.887 for calories purposes, we don't want you having too much 0:08:40.047 --> 0:08:43.247 our cold cordy or fruit juice coke, things like that. 0:08:43.807 --> 0:08:47.207 But from a pure fluid perspective, fluid is fluid. 0:08:48.087 --> 0:08:50.327 Okay, So I've got a fair idea of what two 0:08:50.327 --> 0:08:52.527 point one liters is because me and a big bottle 0:08:52.567 --> 0:08:55.047 go everywhere. But for those listening, what is that and 0:08:55.087 --> 0:08:58.047 say water bowls, Mount Franklin water balls. 0:08:57.887 --> 0:09:00.767 A Mount Franklin water bottle about three seventy five so 0:09:01.007 --> 0:09:03.687 maybe four and a cup of coffee for two hundred 0:09:03.687 --> 0:09:06.127 and fifty meals For a cup of coffee takeaway coffee 0:09:06.167 --> 0:09:09.727 is probably two hundred meals, thinking about like a glass 0:09:09.767 --> 0:09:11.567 of wine is meant to be one hundred meals. That's 0:09:11.607 --> 0:09:14.007 a standard glass of wine. If you think that you're 0:09:14.047 --> 0:09:16.767 getting the mid afternoon slumps because your hydration is starting 0:09:16.767 --> 0:09:19.127 to catch up with you, then maybe at the beginning, 0:09:19.487 --> 0:09:22.447 measure out two point one leaders and actually just see 0:09:22.447 --> 0:09:24.527 what it looks like in cups, and then you'll have 0:09:24.567 --> 0:09:26.367 a fair idea of what you need to be doing 0:09:26.407 --> 0:09:29.487 in your life to actually get your hydration up to speed. 0:09:29.727 --> 0:09:32.687 Dehydration, like that word just makes me think of somebody 0:09:32.887 --> 0:09:36.207 in the desert like kind of crawling towards a mirage 0:09:36.287 --> 0:09:41.127 of water. What does dehydration actually mean? Like what is 0:09:41.127 --> 0:09:42.287 considered as dehydration? 0:09:42.687 --> 0:09:44.607 Yeah, it's hard, Like it's not like I can do 0:09:44.687 --> 0:09:46.887 a blood test on you and go, oh, you're dehydrated. 0:09:47.207 --> 0:09:50.487 Probably you'll know because you'll be thirsty. And even if 0:09:50.527 --> 0:09:52.927 you're not aware of your thirst, you might just feel 0:09:52.927 --> 0:09:55.247 like a bit sluggish, like you might have that mid 0:09:55.287 --> 0:09:58.887 afternoon slump and you think you need a sneaker's barber. 0:09:59.047 --> 0:10:01.847 Probably you'd be better off grabbing your emotional support water bottle. 0:10:01.927 --> 0:10:04.087 I mean, look, as a hypochondriach, I would be going 0:10:04.087 --> 0:10:06.767 on to doctor Google presuming some of these symptoms with 0:10:06.847 --> 0:10:10.687 something far worse. I mean, do women think that maybe 0:10:10.727 --> 0:10:12.327 it's dehydration that's the problem. 0:10:12.447 --> 0:10:16.047 Think so the women that I see who are often dehydrated, 0:10:16.087 --> 0:10:17.527 and I often work it out when I ask for 0:10:17.567 --> 0:10:21.127 a urine sample and I see this brown sludge going no, 0:10:21.447 --> 0:10:23.967 you know, kind of darker and instead of pale yellow. 0:10:24.767 --> 0:10:27.447 A lot of the women that I see are worried 0:10:27.447 --> 0:10:29.967 about incontinents, and they're worried about not being able to 0:10:29.967 --> 0:10:31.967 make it to the toilet. So if they're going to 0:10:32.007 --> 0:10:33.327 be on a bus, or if they're going to be 0:10:33.367 --> 0:10:35.007 in a long meeting, or if they're going to be 0:10:35.367 --> 0:10:37.487 going out for drinks with the girls, and they don't 0:10:37.487 --> 0:10:39.087 want to have to sit on the toilet all the time, 0:10:39.367 --> 0:10:42.167 they start with holding their own fluid in the hope 0:10:42.207 --> 0:10:45.327 that they don't need to wet their pants. And that's huge, 0:10:45.327 --> 0:10:48.407 Like that happens way more than people talk about because 0:10:48.407 --> 0:10:51.567 no one talks about incontinent and so I think women 0:10:51.727 --> 0:10:53.807 have got to come up with a solution to their 0:10:53.847 --> 0:10:56.847 incontinents and start drinking again so they feel more energetic. 0:10:57.007 --> 0:11:01.207 Yeah, and there are actually toilets everywhere I know. All right, 0:11:01.287 --> 0:11:03.687 So you mentioned like a scludgy color, and then we 0:11:03.767 --> 0:11:07.207 talked about, like we see deeper yellow on the color wheel, 0:11:07.527 --> 0:11:09.567 where would we want to be in a hydrated points 0:11:09.607 --> 0:11:09.967 of view? 0:11:10.487 --> 0:11:12.087 So let's talk about what you're going to see in 0:11:12.087 --> 0:11:14.487 the toilet bowl, which is going to be diluted in 0:11:14.567 --> 0:11:15.527 a whole lot of water. 0:11:16.087 --> 0:11:17.287 Do you know I never even thought of that. 0:11:17.407 --> 0:11:20.887 Yeah, So what you wi is going to go much 0:11:20.967 --> 0:11:23.567 paler in the toilet, So it already should be a 0:11:23.607 --> 0:11:26.567 fairly pale yellow, okay, and be not water colored but 0:11:26.687 --> 0:11:29.567 not far off water. Like a very pale yellow is 0:11:29.807 --> 0:11:32.447 well hydrated. If you do a wee in the toilet, 0:11:33.007 --> 0:11:34.927 mind you, your first way of the morning is always 0:11:34.967 --> 0:11:38.447 more concentrated because your body does that by design overnight 0:11:38.527 --> 0:11:40.327 to stop you from having to weah every gy minutes. 0:11:40.767 --> 0:11:42.887 So the first one of the morning can be a 0:11:42.967 --> 0:11:45.807 darker orange, but for the rest of the day, we're 0:11:45.847 --> 0:11:48.287 talking pale, pale yellow in the toilet is ideal? 0:11:48.607 --> 0:11:51.527 Okay, unless you've had a bronka, because I get a shock, 0:11:51.767 --> 0:11:55.007 all right, Jinny, so on, behalf of women everywhere confused 0:11:55.047 --> 0:11:57.527 at how much water we should be drinking. I'm so 0:11:57.607 --> 0:11:59.967 excited to do this. I have some rapid fire myth 0:12:00.007 --> 0:12:00.767 busters for you. 0:12:01.007 --> 0:12:03.287 Are you ready, I'm limbering up here. 0:12:03.607 --> 0:12:07.087 Number one, is it really eight glasses a day? And 0:12:07.247 --> 0:12:10.767 are we talking tumblers or schooners here? Two point one leaders? 0:12:10.807 --> 0:12:14.087 However, that comes more if you're pregnant, more if you're 0:12:14.207 --> 0:12:15.887 exercising a lot and doing a lot of sweating. 0:12:15.967 --> 0:12:17.967 Number two, I mean, I love carrying around my giant 0:12:18.047 --> 0:12:20.767 drink bottle. As we've discussed, but is it possible to 0:12:20.807 --> 0:12:21.847 drink too much water? 0:12:22.287 --> 0:12:24.367 In theory you got to drink a lot, like You've 0:12:24.367 --> 0:12:27.527 got to be sculling about a liter an hour for many, 0:12:27.567 --> 0:12:31.967 many hours to wash the sodium out of your bloodstream altogether. 0:12:32.447 --> 0:12:34.487 That tends to happen when people are very ourn well, 0:12:34.487 --> 0:12:36.967 because you tend to stop yourself you feel sick drinking 0:12:37.007 --> 0:12:38.687 that much water and you tend to put a stop 0:12:38.687 --> 0:12:39.167 on yourself. 0:12:39.367 --> 0:12:44.287 Number three, can you be hydrated by liquids other than water? Yes? 0:12:44.407 --> 0:12:47.967 I will take like any liquid counts towards your your 0:12:48.087 --> 0:12:51.047 total amount. The thing is, though, it's often laden with 0:12:51.087 --> 0:12:53.567 calories and a lot of sugar, bad for your teeth. 0:12:53.607 --> 0:12:56.007 So the best thing is water or tea or coffee. 0:12:56.047 --> 0:12:58.367 But if you really want to contribute a coke to that, 0:12:58.367 --> 0:12:59.207 that's fine. 0:12:58.927 --> 0:13:02.887 It's okay, great, No taken number four. Does coffee really 0:13:02.927 --> 0:13:03.807 dehydrate you? 0:13:03.847 --> 0:13:03.967 No? 0:13:04.607 --> 0:13:05.047 Doesn't. 0:13:05.247 --> 0:13:08.207 No, that's a myth. That's a myth. That is a myth. 0:13:09.367 --> 0:13:11.887 We're getting rid of that one. And number five, if 0:13:11.927 --> 0:13:14.847 you wait until you're thirsty to drink, is it too late? 0:13:15.047 --> 0:13:18.887 No, that's a myth too. That's fine. 0:13:19.487 --> 0:13:22.727 Up next, are you well? We need to talk about 0:13:22.767 --> 0:13:26.487 something else that is really important. It's a condition that 0:13:26.567 --> 0:13:30.407 affects one in three adults, but a massive eighty percent 0:13:30.447 --> 0:13:33.007 of them have no idea it's even happening. 0:13:35.607 --> 0:13:37.887 For our next are you well, We're going to take 0:13:37.927 --> 0:13:41.167 a slightly doom and gloom turn because it's about something 0:13:41.167 --> 0:13:44.727 affecting a staggering one in four assie adults. Which is 0:13:44.807 --> 0:13:48.487 pre diabetes one in four. Yeah, it's crazy. Now the 0:13:48.527 --> 0:13:51.047 thing that is really mad. Here's a stat for you. 0:13:51.247 --> 0:13:53.807 Eighty percent of people with pre diabetes have got no 0:13:53.887 --> 0:13:56.007 idea that they've got it, and of the twenty percent 0:13:56.007 --> 0:13:59.607 who know, most don't realize it's a problem. So, Cath, 0:14:00.207 --> 0:14:03.607 we're going to talk about what pre diabetes is, why 0:14:03.727 --> 0:14:06.007 so many people have got no idea that they've got it, 0:14:06.527 --> 0:14:08.527 and whether there's anything you can do about it and 0:14:08.567 --> 0:14:10.047 even reverse it altogether. 0:14:10.247 --> 0:14:16.207 Okay, okay, so doctor Jenny, I feel like I know 0:14:16.327 --> 0:14:19.247 the term pre diabetes, but I don't actually know what 0:14:19.287 --> 0:14:19.727 it means. 0:14:20.447 --> 0:14:22.727 Yeah, so it sounds like it's the thing that comes 0:14:22.767 --> 0:14:27.327 before diabetes, which is a Generally, there's two types of diabetes. 0:14:27.447 --> 0:14:30.487 There's one where you don't make enough insulin. That's an 0:14:30.527 --> 0:14:34.567 autoimmune condition that tends to start in your teens or 0:14:34.607 --> 0:14:38.007 even in early childhood. And then the more common type 0:14:38.007 --> 0:14:41.847 two diabetes, where you make enough insulin at least in 0:14:41.847 --> 0:14:44.687 the early parts, but your cells don't respond to it, 0:14:44.727 --> 0:14:47.527 and as a result of that, your sugar levels in 0:14:47.567 --> 0:14:50.527 your blood go up, and those high sugar levels drive 0:14:50.607 --> 0:14:52.807 a whole lot of changes in your body that increase 0:14:52.847 --> 0:14:55.807 your risk of chronic conditions like having a heart attack, 0:14:55.847 --> 0:14:59.807 a stroke, destroying the arteries that actually supply your legs, 0:14:59.847 --> 0:15:03.687 but other things as well, causing cataracts. So diabetes, if 0:15:03.727 --> 0:15:07.127 it's not well controlled, is a major contributor to poor 0:15:07.167 --> 0:15:11.847 health in Australia. So diabetes is what comes before you 0:15:11.887 --> 0:15:15.207 get to diabetes. It's not inevitable, but it is diagnosed 0:15:15.207 --> 0:15:17.647 based on numbers. So if you wake up in the 0:15:17.687 --> 0:15:20.807 morning and take a sugar level and your sugar is 0:15:20.967 --> 0:15:25.567 over seven consistently, that probably means that you have diabetes. 0:15:25.607 --> 0:15:27.687 There are other blood tests we can do to confirm that. 0:15:28.327 --> 0:15:30.327 But if you wake up with a blood sugar level 0:15:30.367 --> 0:15:33.327 of five point five or below, we call that normal. 0:15:33.727 --> 0:15:36.087 Well what about that gray zone of people who are 0:15:36.127 --> 0:15:39.927 maybe six or six point two or five point seven. 0:15:40.367 --> 0:15:42.407 They've always been in this gray zone that we didn't 0:15:42.567 --> 0:15:44.447 know what to call it, and now we call it 0:15:44.487 --> 0:15:47.887 pre diabetes. With the higher that sugar level, the closer 0:15:47.887 --> 0:15:50.047 you are to diabetes, the worse it is, and the 0:15:50.047 --> 0:15:52.887 more likely you are to eventually go on to get diabetes. 0:15:53.407 --> 0:15:58.087 Okay, so with pre diabetes, what symptoms might somebody be showing. 0:15:58.167 --> 0:16:00.287 They're probably not going to have any and you won't 0:16:00.287 --> 0:16:03.047 know it until you have a blood test per se. 0:16:03.207 --> 0:16:06.727 And that's a problem because not everybody just routinely goes 0:16:06.767 --> 0:16:08.847 and gets a blood test. You've got to think about it, 0:16:08.847 --> 0:16:11.127 go to your a book in for a checkup. And 0:16:11.207 --> 0:16:14.207 what gps do generally is every few years we run 0:16:14.247 --> 0:16:17.327 this thing called the os D Risk Score, and we 0:16:17.727 --> 0:16:20.567 put into an algorithm a whole lot of things like 0:16:20.607 --> 0:16:23.407 your height, your weight, your family history, if you've got 0:16:23.447 --> 0:16:26.807 gestational diabetes when you're pregnant. We put those into a 0:16:26.847 --> 0:16:29.487 calculator that spits out a number that says, yet you 0:16:29.567 --> 0:16:32.487 need a blood sugar test. The thing is that a 0:16:32.487 --> 0:16:34.607 lot of us don't go to the doctor for just 0:16:34.647 --> 0:16:36.567 to check up. We go when we've got a cold 0:16:36.687 --> 0:16:39.167 or we've got a sprained ankle, and the GP runs 0:16:39.167 --> 0:16:43.287 out of time to actually do those preventive things as well. 0:16:43.327 --> 0:16:45.327 So too few of us are getting the os D 0:16:45.487 --> 0:16:48.007 risk check and getting a sugar level. So by the 0:16:48.007 --> 0:16:50.007 time we find out we've got pre diabetes, we might 0:16:50.007 --> 0:16:50.807 have had it for years. 0:16:51.447 --> 0:16:53.887 Is there an age where we're more likely to have 0:16:53.927 --> 0:16:55.367 it or is it not age related? 0:16:56.047 --> 0:16:57.847 It used to be one of those things that you 0:16:58.007 --> 0:17:00.487 only ever got sort of in midlife in your fifties, 0:17:00.527 --> 0:17:03.127 that kind of thing. But we're seeing with maybe more 0:17:03.167 --> 0:17:07.047 processed foods, with more sedentary kind of lifestyle, so you 0:17:07.327 --> 0:17:09.647 sitting around like a couch potato and not doing as 0:17:09.727 --> 0:17:12.327 much running as you used to do. It's starting earlier 0:17:12.327 --> 0:17:15.247 and earlier, And so we're meant to screen women who 0:17:15.287 --> 0:17:18.367 have ever had gestational diabetes regularly for it with that 0:17:18.967 --> 0:17:21.607 oral glucose tolerance test. Remember that test that you had 0:17:21.607 --> 0:17:23.567 when you're pregnant. So you have a little bit of 0:17:23.607 --> 0:17:25.647 a sugary drink and then they do a few blood 0:17:25.687 --> 0:17:27.927 tests to see how your body handles sugar. You're meant 0:17:27.967 --> 0:17:30.487 to do that regularly forever after after you've had a 0:17:30.567 --> 0:17:34.127 gestational diabetes. But again, a lot of women are falling 0:17:34.127 --> 0:17:36.127 off the radar and we're not doing the testing we're 0:17:36.167 --> 0:17:36.607 meant to do. 0:17:37.047 --> 0:17:40.567 What about being tested for pre diabetes? Like how often 0:17:40.567 --> 0:17:43.727 should people, potentially in an ideal world, be getting a test. 0:17:44.527 --> 0:17:45.847 So if you. 0:17:45.767 --> 0:17:48.327 Score high on an OSDE risk, we would do that 0:17:48.407 --> 0:17:50.527 at least every three years, But if we find that 0:17:50.567 --> 0:17:52.407 you've got pre diabetes, then we're going to do it 0:17:52.407 --> 0:17:56.167 every year. While we rapidly try to reverse course. 0:17:57.087 --> 0:17:57.807 Is it reversible? 0:17:57.847 --> 0:18:01.327 It's totally reversible, Like there is not an inevitability that 0:18:01.367 --> 0:18:03.927 you're going to go on to get diabetes. But we 0:18:04.047 --> 0:18:07.727 do need to do certain changes to your lifestyle, and 0:18:07.767 --> 0:18:09.927 it's mainly going to be around diet. 0:18:10.127 --> 0:18:12.767 Okay, So what sort of stuff would we be changing? 0:18:12.927 --> 0:18:15.287 Because the boring yadi yatas that we say for pretty 0:18:15.327 --> 0:18:16.767 much every single. 0:18:16.647 --> 0:18:18.487 You tell me I can't do any of the good stuff, 0:18:18.487 --> 0:18:18.887 aren't you? 0:18:18.927 --> 0:18:20.927 There are good carbs out there, like a whole grain 0:18:21.007 --> 0:18:23.567 bread or a lentil is a good carb, right, But 0:18:24.127 --> 0:18:28.007 like a packaged Lolly chocolate, he's a bad cup. Well, 0:18:28.007 --> 0:18:30.687 that's a bad cup. Unfortunately, Kath and I are big 0:18:30.727 --> 0:18:34.567 fans of the lollies. We generally can't record any podcast 0:18:34.647 --> 0:18:38.127 without a bowl of Lollies between us. But unfortunately they're 0:18:38.167 --> 0:18:40.807 now off the agenda for any kind of pre diabetics. 0:18:40.807 --> 0:18:43.087 But even things like a lot of my patients think 0:18:43.127 --> 0:18:46.087 that like sushi is really really good for you. It's 0:18:46.127 --> 0:18:50.887 a health food sushi. No sure, grain rice, especially when 0:18:50.887 --> 0:18:53.167 it's covered in sugar, which is part of the Like 0:18:53.247 --> 0:18:56.047 the sushi rice treatment is really not good for you, 0:18:56.087 --> 0:18:57.407 Like I'm happy for you to go and have some 0:18:57.447 --> 0:19:00.527